Kentucky Medicaid rate for CPT 11042
Kentucky Medicaid pays $48.18 for CPT 11042 in its January 2026 fee-for-service schedule: the 5th-lowest of 45 state Medicaid programs, at 49% of the $98.39 median.
- Non-facility rate
- $48.18
- Rank
- 41 of 45
- vs. state median
- 49%
- vs. KY Medicare
- 40%
What Kentucky Medicaid publishes for 11042
5th-lowest of 45 · 49% of median
- Schedule
- January 2026
- Prior authorization
- Not published
1 rate type
- Standard rate
- Facility $48.18
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. DMS Fees & Rates
11042 in neighboring states
Each state's comparable non-facility rate for 11042 in its current schedule.
11042 in every state
Map and ranking of every state program that prices 11042.
Compare 11042 across states11042 under Medicare
Medicare's 2026 non-facility payment for 11042 in Kentucky is $121.63; Kentucky Medicaid's rate is 40% of that. The national amount before geographic adjustment is $132.602.
See 11042 Medicare ratesSee Kentucky's full schedule: all 7,515 codes, every published period, and commercial payer rates for 11042.
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